HomeMy WebLinkAbout01-13-10 (2)INVENTORY
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REGISTER OF WILLS OF CUMBERLAND COUNTY, PE~}N~1~-~~A-NiA~W~
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-09-1083 C~~~i{ 0~
Bernadette M. Palmer ~
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Personal Representative(s) of the Estate of SCOtt D. Palmer _' ' J '
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
James D. Bogar
Bernadette M. Palmer
Bogar & Hipp Law Offices
One West Main Street, Shiremanstown, PA 17011
717-737-8761
(Supreme Court I.D. No.) 19475
DATE OF DEATH LAST RESIDENCE 514 Susan Road DECEDENTS SOC. SEC. NO.
10/28/2009 Camp Hill, PA 17011 493-50-2922
FIGURES MUST BE TOTALED
Personal Progert
Cash ...............................................................................................
Personal Property .........................................................................
Stocks/Listed .................................................................................
StockslClosely Held ......................................................................
Bonds .............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property .........................................................................
Total Personal Property .........................................
Total Real Property ................................................
Total Personal and Real Property .........................
11,785.73
11, 785.73''
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(b))
11,785.73
Form RW-09 Rev. to-t~-zoos
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-09-1083
DATE OF DEATH I LAST RESIDENCE 514 SUSan Road DECEDENTS SOC. SEC. NO.
10/28/2009 Camp Hill, PA 17011 493-50-2922
Cash
Commonwealth of Pennsylvania -Final salary and benefits payment
Total Cash
11,785.73
11,785.73
(Attach additional sheets if necessary) Total Personal Property and Real Estate 11,785.73